SHIVANI PATEL


Address: 4710 S Florida Ave, Lakeland, FL 33813
Phone: 8632846800

SHIVANI PATEL (NPI# 1386146215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386146215
Entity Type Individual
Full Name SHIVANI PATEL
Credential ARNP
Practice Address 4710 S Florida Ave
Lakeland
FL 33813
Mailing Address 1324 Lakeland Hills Blvd
Attn: Managed Care Dept
Lakeland
FL 33805-4543
Practice Telephone 8632846800
Mailing Telephone 8636871100
Enumeration Date 2018-03-07
Last Update Date 2018-06-22
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
9339359 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3030 Harden Blvd, Lakeland, FL 338037952 8632845000 8632846716
3015 Lakeland Highlands Rd, Lakeland, FL 338034339 8632845000 8636820761

Other Providers SHIVANI PATEL

NPI Name Taxonomy Address Enumeration
1912536665 Shivani Patel Physician Assistant 4020 Clemson Blvd, Anderson, SC 29621-1106 2020-04-05
1891338984 Shivani Patel Optometrist 220 S Denton Tap Rd Ste 204, Coppell, TX 75019-5039 2019-10-22
1518431774 Shivani Patel Dentist 1000 Bay Area Blvd Ste A, Houston, TX 77058-1400 2019-01-21
1841778446 Shivani Minish Patel Physical Therapist 512 Caldera Ct, Westminster, MD 21158-9486 2018-08-06
1063906774 Shivani Patel Behavioral Analyst 2489 Lake Tahoe Blvd Ste 27, South Lake Tahoe, CA 96150-7731 2018-06-15
1467972380 Shivani Patel Psychiatry & Neurology 2401 31st St., Ms-22-117d, Temple, TX 76508 2017-06-21
1811427990 Shivani Ashvin Patel Student in an Organized Health Care Education/Training Program 584 Limerick Dr, Elgin, IL 60124-4353 2017-06-12
1285188292 Shivani A Patel Dentist 270 Littleton Rd Ste 9, Westford, MA 01886-3523 2016-08-08
1639553662 Shivani Patel Dentist 720 Ellsborough Ct, Alpharetta, GA 30005-2573 2015-07-20
1083969109 Shivani Tapan Patel Dentist 600 S Conroe Medical Drive, Ste 104, Conroe, TX 77304 2012-07-14

Office Location

Street Address 4710 S FLORIDA AVE
City LAKELAND
State FL
Zip Code 33813

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890462 Ruben D Adriano Internal Medicine 4710 S Florida Ave, Lakeland, FL 33813-2165 2005-06-10
1659870350 Steven Ray Betteridge II Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813 2018-02-08
1407355217 Shirley Gwen Rogerson Registered Nurse 4710 S Florida Ave, Lakeland, FL 33813-2165 2018-02-07
1851803407 Radiology & Imaging Specialists of Lakeland, Pa Radiology 4710 S Florida Ave, Lakeland, FL 33813-2165 2017-11-03
1407203821 Kessarin Gustafson Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813-2165 2016-05-16
1134580053 Paul Stephen Kent Jr. Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813-2165 2016-03-20
1417312471 Jackie Barnes Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813-2165 2015-12-17
1740651272 Nwamaka Ilonzo Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813-2165 2015-10-09
1417353665 Kelly Bolin Nurse Practitioner 4710 S Florida Ave, Lakeland, FL 33813 2014-11-17
1063858538 Lakeland Regional Health Systems, Inc. Clinic/Center 4710 S Florida Ave, Lakeland, FL 33813-2165 2013-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427600030 Genesis Vieyra Lopez Nurse Practitioner 631 Mid Florida Drive, Lakeland, FL 33813 2019-07-13
1306323340 Sandrene Smart Clinic/Center 625 Commerce Dr. (suite 103), Lakeland, FL 33813 2018-07-23
1033560586 Charles D. Llano, D.d.s. Dentist 320 West Highland Drive, Lakeland, FL 33813 2016-06-27
1417317389 Eye Specialists of Mid-florida, Pa Ophthalmology 2004 Cr 540 A, Lakeland, FL 33813 2016-03-04
1609234905 Care and Life LLC In Home Supportive Care 6526 Fox Tree Lane, Lakeland, FL 33813 2016-02-02
1558731158 Lori Ann Smith Nurse Practitioner 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 2015-09-25
1891182143 Advanced Integrated Care Organization, LLC Health Maintenance Organization 5423 S. Florida Ave, Lakeland, FL 33813 2015-04-23
1902292352 Central Health Associates Internal Medicine 4925 Old Rd 37, Lakeland, FL 33813 2015-04-13
1134542848 Gledia Lovering Dietitian, Registered 6420 Highlands In The Woods St, Lakeland, FL 33813 2014-01-31
1134556368 Billy Rogers Nurse Anesthetist, Certified Registered 4513 Orangewood Loop W., Lakeland, FL 33813 2013-10-02
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851906994 Janine Marie Divincenzo-smith Nurse Practitioner 2927 Northbrook Ln, Lakeland, FL 33811-1663 2020-09-15
1225643638 Erin Garza Nurse Practitioner 1606 Lakewood Dr N, Lakeland, FL 33813-3241 2020-09-11
1184240228 Alexis Michele Ramos Nurse Practitioner 858 Rockingham Rd, Lakeland, FL 33809-4044 2020-06-24
1326664632 Lindsey R Cromer Nurse Practitioner 6945 Ashbury Dr, Lakeland, FL 33809-7804 2020-06-23
1043846611 Amy Melissa Eaton Nurse Practitioner 1123 Walt Williams Rd Lot 192, Lakeland, FL 33809-2392 2020-03-16
1265066732 Komal Meghat Nurse Practitioner 707 Arbor Glen Cir Apt 103, Lakeland, FL 33805-2376 2020-02-24
1629609391 Brooke Nicole Brooks Nurse Practitioner 6883 Lake Eaglebrooke Dr, Lakeland, FL 33813-5667 2020-01-30
1568001774 Theava Ismarella Preston Nurse Practitioner 1409 Alameda Dr S, Lakeland, FL 33805-2301 2020-01-06
1497394738 Denise Thaxter Nurse Practitioner 3262 Pebblebrooke Blvd, Lakeland, FL 33810-1305 2020-01-03
1205478724 Jisha Mathew Nurse Practitioner 2636 High Ridge Dr, Lakeland, FL 33812-5883 2019-10-16
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Competitor

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City LAKELAND
Zip Code 33813

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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